Emory William Heffernan, PSI

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

S13130 Issued in AL

Practice address

1802 6TH Ave S
Birmingham, AL 35233-1932

Phone

(208) 814-0192

NPI assigned

Jan 14, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1174112072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 COX ST APT 34",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368327708",
            "telephone_number": "256-479-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331932",
            "telephone_number": "208-814-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "EMORY",
        "middle_name": "WILLIAM",
        "credential": "PSI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "S13130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1311890",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blair Danielle Hedges, NP
• Kathy H Hedrick, PH.D.
• Brenten Lance Heeke, M.D.
• Christiaan Marshall Heersink, MD
• Avery Manning Heffernan, NBC-HWC
• Aparna Madhukeshwar Hegde, M.D
• Brittany Hegde, MD
• Joseph Richard Hegedus, DO
• Jay T Heidecker, M.D.
• Carrie Tindol Heidrich, DPT

• Student in an Organized Health Care Education/Training Program in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.